Laserfiche WebLink
SICK rEl <br />*ttlIT APPLICATION <br />SUBMIT EVIDENCE THAT EQUIPMENT <br />COMPLIES NIT11 Tl1E STANDARDS OF <br />AN APPROVED TESTII:G LABORATORY INSPECTION OF SIGN REQUIRED ` <br />BEFORE E?FCTION. O <br />CALL 259-s745 FOR INSPECTION. APPLICATION DATE ti <br />Ilk <br />the <br />ADDRESS r: ' <br />The undersigned owner•hereby agrees to hold and save... harmarise <br />less <br />and all claims for damages that dfor, and <br />City of Everett from any of the improvement hereto app to and to re- <br />1,ecause of installation same upon n,tice:frbm the City <br />further agrees to remove ed thereby. <br />place all public property damaged '30 0 <br />VALUE: <br />_9 <br />CIRCUITS: <br />FEE: <br />\� IC& <br />G ELECTR . <br />TOTAL FEES: <br />V � <br />_ P <br />` Le?V4A G,q-�VFr�� , s <br />Cr <br />rAIL- . <br />SIGNED <br />coxfRncTor. <br />--�- i� <br />LICENSE N0. �/" " <br />